# 45 URGENT CARE, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912326539
- **Authorized official:** DR. SHANNON L BONE D.C. (PRESIDENT)
- **Authorized official phone:** (731) 664-6998

## Contact information

- **Practice address:** 149 N STAR DR, JACKSON, TN 38305-5634
- **Practice address phone:** (731) 554-0571
- **Practice address fax:** (731) 664-7161
- **Mailing address:** 2012 GREYSTONE SQ, JACKSON, TN 38305-3575
- **Mailing address phone:** (731) 664-6998
- **Mailing address fax:** (731) 664-7161

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 34403 | TN | Yes |

## Other

- **Enumeration date:** 04/10/2014
- **Last updated:** 03/13/2015